End-Stage Renal Disease (ESRD) is a medical condition in which a person’s kidneys cease functioning on a permanent basis leading to the need for a regular course of long-term dialysis or a kidney transplant to maintain life.
• a decrease in how much you urinate.
• inability to urinate.
• fatigue.
• malaise, or a general ill feeling.
• headaches.
• unexplained weight loss.
• loss of appetite.
• nausea and vomiting.
End stage renal disease (ESRD) is a devastating medical, social and economic problem in any community and needs dedicated supervision and health care. It is fatal unless treated properly. Despite the improvements in dialysis care, the mortality of patients with ESRD remains high.
Kidney transplant or renal transplant is the organ transplant of a kidney into a patient with end-stage kidney disease. It is typically classified as deceased-donor or living-donor transplantation depending on the source of the donor organ.
The average life expectancy for a patient on dialysis is generally five years. On the other hand, patients who receive a kidney transplant typically live longer than those who stay on dialysis. A living donor kidney functions, on average, 12 to 20 years, and a deceased donor kidney from 8 to 12 years.
According to the US August 2020 Scientific Registry of Transplant Recipients (SRTR) report, 1-year national expected survival rates are: 98.11% success rate for living donor kidney transplant. 94.88% success rate for deceased donor transplant.
A successful kidney transplant may allow you to live the kind of life you were living before you got kidney disease. Studies show that people with kidney transplants live longer than those who remain on dialysis.
Kidney transplantation is a major surgical procedure that has risks both during and after the surgery. The risks of the surgery include infection, bleeding, and damage to the surrounding organs. Even death can occur, although this is very rare.
Currently the majority of patients developing end-stage renal disease (ESRD) whom are eligible for kidney transplantation are between 45 and 65 years of age. A kidney transplant has an expected half-life of 7–15 years.
AV fistula surgery involves sewing together an artery and a vein, usually in the wrist or elbow area. This creates a larger, tougher vein that can tolerate multiple needle punctures that are needed for dialysis. You can see the thickened vein and feel a pulse in it after the AV fistula heals over several months.
You will receive either local or general anesthesia for the surgery. The surgeon accesses the artery and vein through a small incision in your arm this operation takes about an hour. Afterward, you’ll rest for one to two hours so the care team can watch you closely before discharging you.
The creation of an arteriovenous fistula (AVF) for hemodialysis access is a low-risk procedure. It is often time sensitive, as avoidance of central venous catheters (CVCs) and their complications is paramount.
Your wound will take 10 to 14 days to heal. We advise that the dressing stay dry for at least three days before being changed. You will be given several spare dressings. Keep your wound covered for seven days.
Dr. Sandeep Harkar – (MBBS, MS In Surgery And Diplomate Of National Board (DNB), Urology/Genito - Urinary Surgery), is one of the Top Urologist in Gurgaon. He began his medical career at Govt Medical College ,Jammu where he successfully completed his MBBS medical degree in first class. He pursued his post graduation (M.S) in the field of General Surgery from the same institution.
Dr Harkar moved to the prestigious MAMC College & associated Lok Nayak Hospital at New Delhi where he worked as Senior resident under the mentorship of the stalwarts of General surgery.
His passion for Urology attained fulfilment when he joined the prestigious Army Hospital (R&R) New Delhi, which is the premier institute of armed forces, for Urology training. During his training, Dr Harkar collaborated closely with the senior team at Army Hospital (R&R) and performed or assisted in nearly all major open/ endoscopic and Laparoscopic surgeries. He also got indepth exposure to Kidney transplant training at Army Hospital (R&R). He was awarded the Diplomate of National Board ( DNB) by the National Board of Examinations after successful completion of training.
He is presently working as Senior Consultant in Department of Urology, Robotics and Renal Transplant, Artemis Hospital Gurgaon
pl labroo2024-02-04Doctor Sandeep Harkar is one of the best Urologist. He hears his patient carefully, advises best possible treatment to the problem. I had one severe problem which he treated with his knowledge, experience and IQ through a successful surgery. God bless the Doctor with good health and happiness 🙏
Rajni Chrungoo2024-02-04Dr. Sandeep Harkar is a good doctor as well as a very good person. He helped my husband with removal of his long time stones - approx 2cm and 2.5cm. He was very cordial till the very last day we were released from the hospital. Was very patient and explained things very clearly as well. God bless him!
Ashok Malhotra2024-01-19I was operated by Dr Harkar for enlarged Prostate successfully.He is an expert in the field and one of the finest doctor you can always count on.God bless him.
Nakul Sharma2024-01-19Dr Sandeep Harker is one of the best Urologist in Gurgaon. I really appreciate the patience and excellence with which he treate me when i suffering large kidney stones from long time. Thank u sir. Always stay bless Dr Harker
Yashpal raghav2024-01-08Thank you sir
Vikas Booni2024-01-06Dr. Sandeep Harkar is one of the best urologists in Gurgaon. I really appreciate the patience and excellence with which he treated my father.
Ankur Sharma2023-12-19I m so happy with dr. Sandeep harkar he is a good Dr.
barinder sharma2023-09-19Excellent doctor and excellent service in hospital